| NPI | 1396131967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4334) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2014018061) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |