| NPI | 1215376629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 6683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007576A) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-07-29 |