| NPI | 1225626740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003023385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 255275) |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2025-02-28 |