| NPI | 1265401863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2471) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-05-01 |