| NPI | 1114436482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254596) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252445) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2020-02-21 |