| NPI | 1033545421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256784) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6630) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007459A) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-09-27 |