| NPI | 1710188297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34001501A) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-03-18 |