| NPI | 1407055635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4044) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 6787) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2012-11-13 |