| NPI | 1629274113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW 1679) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2000167462) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |