| NPI | 1386778710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004682A) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-04-14 |