| NPI | 1417214982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259269) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252134) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-07-09 |