| NPI | 1477172203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022027925) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MO 2020017493) | |
| 1041C0700X Social Worker, Clinical (Licence: 2022027925) | |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2022-12-20 |