| NPI | 1619941697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY1797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004133A) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2013-06-28 |