| NPI | 1831550870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020012956) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9912) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2022-08-01 |