| NPI | 1831687003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7021) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7530) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34010519A) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 253289) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-12-22 |