| NPI | 1144504119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014020837) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8207) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2017-02-02 |