| NPI | 1205824802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006017357) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-07-24 |