| NPI | 1801169883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34010165A) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2024-02-15 |