| NPI | 1548417264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2006032791) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |