| NPI | 1063167393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 10563) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001662) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2026-08-18 |