| NPI | 1639566276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017024101) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014037634) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2022-01-11 |