| NPI | 1164614988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 3795) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2016-02-03 |