NPI | 1760521827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003032220) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MO 2003032220) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |