| NPI | 1912020306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014014425) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA msw 004218) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-05-02 |