| NPI | 1073541686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 005111) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 2016) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2024-01-25 |