| NPI | 1538179320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3045) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 2195) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-01-21 |