| NPI | 1457308777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003643A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 1550) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2021-05-14 |