| NPI | 1407909773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 1862) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 006164) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |