| NPI | 1295174092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014042502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012026563) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2019-05-24 |