| NPI | 1174542393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS KS1468) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO MO000919) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-11-30 |