| NPI | 1104174861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2003022268) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |