| NPI | 1932442043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020024883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 7900) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-11-12 |