| NPI | 1679625958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2215) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2001028096) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-10-06 |