| NPI | 1013202423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256494) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 5835) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-02-01 |