| NPI | 1619929841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 557) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34003778A) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |