| NPI | 1477508646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 1809) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW 8644) |
| 1041C0700X Social Worker, Clinical (Licence: KY 1809) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 8644) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-09-26 |