| NPI | 1447417613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2012013745) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022039938) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-10-26 |