| NPI | 1821016353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 0859) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 0859) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-08-13 |