| NPI | 1891840542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015874) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-06-24 |