| NPI | 1215077813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004009155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2419) |
| 1041C0700X Social Worker, Clinical (Licence: CO 992527) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |