| NPI | 1356626477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014006863) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2022-06-06 |