| NPI | 1134732068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2023006427) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 11367) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2023-03-02 |