| NPI | 1629472691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS LMSW 9407) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2021-08-25 |