| NPI | 1427211283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4180) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7157) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-10-29 |