| NPI | 1134525074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254857) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3345) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-06-05 |