| NPI | 1457631509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7438) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2019-07-01 |