| NPI | 1104235597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253563) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7075) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2025-09-12 |