| NPI | 1104132695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5110) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007198A) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2021-03-16 |