| NPI | 1952668691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014026538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2011039795) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2022-02-14 |