| NPI | 1750383253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 0000003332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 1610) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2008-07-28 |