| NPI | 1811211139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016021511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115640) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2017-01-20 |