| NPI | 1811538267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019025248) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019025248) |
| 1041S0200X Social Worker, School (Licence: MO 2019025248) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2020-05-21 |