| NPI | 1376056424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2012017071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5174) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2020004196) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-09-29 |