| NPI | 1346481587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5023) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 069325) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2015-09-29 |