| NPI | 1912215864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018044949) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9175) |
| 104100000X Social Worker | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2022-12-04 |