| NPI | 1306135934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011008042) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4037) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |