| NPI | 1598750630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 3610) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-09-29 |