| NPI | 1194497818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 4056) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 4058) |
| 1041C0700X Social Worker, Clinical (Licence: KS 4058) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2022-01-25 |