| NPI | 1134828932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020040906) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05490) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |