| NPI | 1275635567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 1667) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1667) |
| 1041C0700X Social Worker, Clinical (Licence: KS LSCSW1667) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-01-22 |