| NPI | 1992069991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017003630) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8459) |
| 104100000X Social Worker (Licence: MO 2016009943) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 4620) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-03-05 |