| NPI | 1710652292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024010508) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021026060) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-03-27 |