| NPI | 1396187209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 8399) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2024-06-03 |