| NPI | 1023639283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023013955) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR L14257) |
| 104100000X Social Worker (Licence: MO 2023013955) | |
| 104100000X Social Worker (Licence: MO 2020005861) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2020005861) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L14257) | |
| 1041S0200X Social Worker, School (Licence: MO 2023013955) | |
| 1041S0200X Social Worker, School (Licence: OR L14257) | |
| 1041S0200X Social Worker, School (Licence: MO 2020005861) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-02-23 |