| NPI | 1720559446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021039472) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018038092) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2023-03-13 |