| NPI | 1184617896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2002030421) |
| Enumeration Date | 2005-08-27 |
| Last Update Date | 2012-01-10 |