| NPI | 1417813064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2025051475) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 13881) |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |