| NPI | 1568901601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254825) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252393) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34009273A) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-01-20 |