| NPI | 1245213206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS LSCSW 2298) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO LCSW002764) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |