| NPI | 1972952430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252432) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6305) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007254A) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-11-24 |