| NPI | 1356835532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05414) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10948) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2022-05-16 |