| NPI | 1568732568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006250A) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2019-06-24 |