| NPI | 1639288418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2372) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020012657) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-07-07 |