| NPI | 1013513894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017043723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017812) |
| 1041C0700X Social Worker, Clinical (Licence: MS C10541) | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2025-01-20 |