| NPI | 1639465016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005811A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-3265) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |