| NPI | 1235135153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002019366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2023-03-14 |