| NPI | 1295425437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2023028786) |
| 104100000X Social Worker (Licence: MO 2020008512) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-09-03 |