| NPI | 1063515310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 1256) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 14441) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-07-20 |