| NPI | 1437351491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 4088) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34007503A) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-04-27 |