| NPI | 1679613517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 4354) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-06-15 |