| NPI | 1588960777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 252370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080428) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2017-01-31 |