| NPI | 1467669994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO LCSW 5802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 1215) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-11-16 |