| NPI | 1285932731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 5998) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2015-02-03 |