| NPI | 1881816163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 1460) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO SW001824) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |