| NPI | 1417064783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1379) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 6757) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-11-20 |