| NPI | 1700250602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017042410) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015022650) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2024-03-05 |