| NPI | 1245668490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 256343) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6953) |
| 1041C0700X Social Worker, Clinical (Licence: KY 256343) | |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2022-05-27 |