| NPI | 1275104069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021013237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2023015563) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-06-06 |