| NPI | 1013958297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2005022492) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 3590) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |