| NPI | 1336307891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014003441) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 3922) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2025-06-13 |