| NPI | 1578867958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 256292) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2024-10-15 |