| NPI | 1770556540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 005725) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-07-08 |