| NPI | 1700214541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4063) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6406) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012447) | |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2019-10-29 |