| NPI | 1073028056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 5093) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 4845) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2020-04-03 |