| NPI | 1033526504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255191) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7004) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-02-15 |