| NPI | 1760890958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 252430) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 7026) |
| 1041C0700X Social Worker Clinical (Licence: IN 34008671A) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2022-05-03 |