| NPI | 1770809352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005031A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY KY 4609) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-27 |