| NPI | 1780872317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 1041C0700X) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW003455) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |