| NPI | 1386748390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3158) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4600) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2016-07-19 |