| NPI | 1285250282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022025574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 20200180012) |
| 1041S0200X Social Worker, School (Licence: MO 2020018012) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-05-12 |