| NPI | 1679736045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 3562) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 5210) |
| 1041C0700X Social Worker, Clinical (Licence: KY 3562) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2019-03-19 |