| NPI | 1407859465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000315A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 807) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-08-15 |