| NPI | 1942504105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2010039058) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4953) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2010039058) | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2024-09-12 |