| NPI | 1942082789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2023010772) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MO 379221) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |