| NPI | 1194335943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019035305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023028352) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2023-08-21 |