| NPI | 1942611983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2018037728) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 4900) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-12-07 |