| NPI | 1760859144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 201603236) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014018055) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2018-06-19 |