| NPI | 1801133640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 4046) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6417) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2020-08-04 |