| NPI | 1477847895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2023001080) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7891) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2023-01-15 |