| NPI | 1679783419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3015) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34000046A) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-04-11 |