| NPI | 1831686260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020036312) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018007959) |
| 1041C0700X Social Worker, Clinical (Licence: AR 23141C) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-04-17 |