| NPI | 1821651027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022021095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019008386) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-06-16 |