| NPI | 1659482396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06738) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 1904) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-03-05 |