| NPI | 1033667142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 260379) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 260379) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2026-06-15 |