| NPI | 1336971597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022028590) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05906) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |