| NPI | 1609186063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006190A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3434) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2011-12-09 |