| NPI | 1912190224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021008475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2018038096) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-08-16 |