| NPI | 1316289465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6582) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2016-04-18 |