| NPI | 1073987640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253603) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7536) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2022-12-30 |