| NPI | 1306533039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024036056) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-09-12 |