| NPI | 1790294072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2016010242) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-05-19 |