| NPI | 1962568212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY0808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34001110A) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-02-05 |