| NPI | 1700096831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 1999137993) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 2162) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-06-23 |