| NPI | 1417226945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3614) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2006008200) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2013-02-03 |