| NPI | 1235621830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019000036) |
| 104100000X Social Worker (Licence: MO 2015027669) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-08-19 |