| NPI | 1114329430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252939) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7047) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2017-12-27 |