| NPI | 1023387362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006071A) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |