| NPI | 1184756207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4016) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4903) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-03-20 |