| NPI | 1689690471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004819A) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-02-21 |