| NPI | 1245559814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006039342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5962) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-09-20 |