| NPI | 1932238490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 2264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2002016074) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-11-04 |