| NPI | 1083071039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018028131) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015044205) |
| 104100000X Social Worker (Licence: MO 2018028131) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2023-09-20 |