| NPI | 1003102062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008142A) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-11-13 |