| NPI | 1467625236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2008006557) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2024-07-11 |