NPI | 1104859255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: KY 2030) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 2030) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2023-05-31 |