| NPI | 1215510581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018025956) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9031) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |