| NPI | 1962615336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 2351) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09931602) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-04-24 |