| NPI | 1013171305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY LCSW00001054) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical (Licence: OK 4679) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-08-07 |