| NPI | 1790226256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019011107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016024376) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2022-10-18 |