| NPI | 1629154265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005569A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 1481) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-04-23 |