| NPI | 1659605780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020028893) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2023-08-07 |