| NPI | 1205940509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7117) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 4950) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005914) | |
| 1041C0700X Social Worker, Clinical (Licence: AR 2283-C) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-03-12 |