| NPI | 1184753113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4002) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 5354) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-09-29 |