| NPI | 1477156875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05276) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019045985) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |