| NPI | 1033623376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 292540) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW17168) | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2023-12-18 |