| NPI | 1750691689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2007027738) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2007027738) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2016-09-07 |