| NPI | 1376734723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2007019331) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2023-08-21 |