| NPI | 1043599491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252646) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6706) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2017-08-08 |