| NPI | 1023279213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 793) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY KY793) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-08-16 |