| NPI | 1790709319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS KS2000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW005978) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-07-15 |