| NPI | 1427290535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008029739) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3886) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2017-01-12 |