| NPI | 1851680730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011003302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4041) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2013-12-06 |