| NPI | 1902469117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020026693) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017044401) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2020-08-25 |