| NPI | 1023460466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017003330) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 06424) |
| 1041C0700X Social Worker, Clinical (Licence: IA 125676) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-10-09 |