| NPI | 1760528210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2009003094) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2077-C) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-10-29 |