| NPI | 1700923513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 813) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004846A) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: KY KY-813) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-11-05 |