| NPI | 1508990136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8160) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-2081) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34004767A) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-08-25 |