| NPI | 1518634997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022001102) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MO 2019010860) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-01-13 |