| NPI | 1972594851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 0839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 003034) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-05-09 |