| NPI | 1053500298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3069) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4415) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2009-06-22 |