| NPI | 1225773286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022029969) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: MO 2019022730) | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-12-16 |