| NPI | 1467625764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR 2641) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 13903) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |