| NPI | 1033699517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256936) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253474) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2023-01-18 |