| NPI | 1033278171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005446A) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-05-23 |