| NPI | 1447049747 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2019046411) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10498) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |