| NPI | 1295380350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1222) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34003498A) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2024-02-19 |