| NPI | 1063747657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005905A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3349) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2011-12-09 |