| NPI | 1023451507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258944) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 254418) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-04-12 |