| NPI | 1598189573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34008676A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007689A) |
| 251S00000X Community/Behavioral Health (Licence: KY 1063857373) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2019-12-20 |