NPI | 1023406113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252727) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 7070) |
Enumeration Date | 2014-12-26 |
Last Update Date | 2021-07-26 |