| NPI | 1659613701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4543) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS T-LMSW 8736) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149018847) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801100256) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2016031346) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2016-10-20 |