| NPI | 1447377387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5325) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2016-01-25 |