| NPI | 1730696014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019037102) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017001153) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2020-09-18 |