| NPI | 1114198256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006322A) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2017-04-28 |