| NPI | 1518049253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS M5874) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 11564) |
| 1041C0700X Social Worker, Clinical (Licence: CT 12060) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-06-03 |