| NPI | 1720129117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254519) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007283A) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-09-17 |