| NPI | 1760067342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021022240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021005308) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-07-14 |