| NPI | 1316084536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2005005661) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-09-20 |