| NPI | 1104955020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3142) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4504) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-02-10 |