| NPI | 1750335394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO SW004503) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3550) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-12-28 |