| NPI | 1669512901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3350) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4768) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-06-19 |