| NPI | 1093495665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257376) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 257376) |
| 104100000X Social Worker (Licence: KY 257376) | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |