| NPI | 1174659874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006018798) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-05-27 |