| NPI | 1740631449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2003030124) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-07-07 |