| NPI | 1851317721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 0573) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 000955) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-09-02 |