| NPI | 1841430444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2007032456) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 5966) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2022-02-28 |