| NPI | 1275639841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO SW0005082) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW2493) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-09-27 |