| NPI | 1164811535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017031324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015000274) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2024-09-23 |