| NPI | 1871779736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2008008184) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2008000184) |
| 1041C0700X Social Worker Clinical (Licence: KS 4818) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2025-06-06 |