| NPI | 1104975465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3769) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KY 5078) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-03-17 |