| NPI | 1568008704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 10607) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P014245) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2020-08-20 |