| NPI | 1235299173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-3181) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 1041C0700X Social Worker, Clinical (Licence: IN 34005578A) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-07-10 |