| NPI | 1043475296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2002030492) |
| Enumeration Date | 2008-07-26 |
| Last Update Date | 2008-07-26 |