| NPI | 1174826523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4052) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 33005888A) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2015-12-07 |