| NPI | 1013252071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258957) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006989) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2024-07-26 |