| NPI | 1194003749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3806) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 6035) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2017-01-25 |