| NPI | 1912451931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020037962) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018008439) |
| 104100000X Social Worker (Licence: KS 10154) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2020-12-14 |