| NPI | 1265576805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS LSCSW 3860) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 3266) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-06-27 |