| NPI | 1770115941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022016141) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019035075) |
| 104100000X Social Worker (Licence: KS 11384) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2022-10-17 |