| NPI | 1609986694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00940032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3104) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-10-03 |