| NPI | 1750405825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 007443) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006754A) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-18 |