| NPI | 1720107535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 6529) |
| 104100000X Social Worker (Licence: KS 6529) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-09-09 |