| NPI | 1053596486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW 6924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO LCSW 2008029462) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2013-05-21 |