| NPI | 1548679277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 5363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4600) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2017-01-28 |