| NPI | 1427593946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015027861) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8274) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-03-30 |