| NPI | 1427150044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005525A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 1788) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2014-09-03 |