| NPI | 1306123617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 252868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6551) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2023-11-16 |