| NPI | 1245635358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4680) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017000658) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2018-03-30 |