| NPI | 1649324534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002031219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1590) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |