| NPI | 1093756363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3261) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4527) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2014-02-13 |