| NPI | 1689915076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015034786) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015034786) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2023-02-22 |