| NPI | 1699824714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252987) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3026) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-10-11 |