| NPI | 1699924498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5930) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-12-07 |