| NPI | 1396182515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021018114) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2013019675) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2023-06-06 |