| NPI | 1336145432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3632) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005144) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-06-12 |