| NPI | 1114100658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW - 4016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LMSW-2560) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2013-11-22 |