| NPI | 1134635774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 255476) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252947) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-09-12 |