| NPI | 1356980759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023000143) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018006921) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2023-04-28 |