| NPI | 1326340902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5067) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5930) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007297A) | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2017-08-24 |