| NPI | 1124452099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6746) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2016-03-01 |