| NPI | 1568756997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS LSCSW-4640) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW-8346) |
| 104100000X Social Worker (Licence: KS T8057) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-02-26 |