| NPI | 1922459221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2014025364) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: MO 2014025364) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-01-10 |