| NPI | 1174710461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3157) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4304) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2020-04-27 |