| NPI | 1710461793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2021008476) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017042399) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2021-05-18 |