| NPI | 1902059249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2007033166) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2020-01-09 |