| NPI | 1134309016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-3161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003615A) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2015-05-26 |