| NPI | 1043913056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001211) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 256694) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-10-27 |