| NPI | 1861563231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 1999135422) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 2148) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-09 |