| NPI | 1407987662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2004032834) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 4902) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-12-06 |