| NPI | 1750691473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 05739) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2017044320) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2024-01-22 |