| NPI | 1942506779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 3826) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 5872) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2013-12-20 |