| NPI | 1134442916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 4462) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1747) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |