| NPI | 1750725834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017037198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2012034582) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-10-26 |