| NPI | 1336366566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014265) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-10-01 |