| NPI | 1073015087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015044121) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: MO 2015044121) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |