| NPI | 1821206350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018005291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1550) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-01-09 |