| NPI | 1790406742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001021757) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 2325) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |