| NPI | 1295811784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2003032214) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 3613) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |