| NPI | 1386963502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008947A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3364) |
| 1041C0700X Social Worker, Clinical (Licence: KY 253231) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-05-03 |