| NPI | 1083156020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255108) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252165) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2024-01-24 |