| NPI | 1598949497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016019130) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-05-26 |