| NPI | 1083743702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3465) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 5190) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2017-05-04 |