| NPI | 1952863177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021023246) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019000698) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-06-13 |