| NPI | 1750940649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021034285) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019014457) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-01-05 |