| NPI | 1003338120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254517) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252719) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2021-08-24 |