| NPI | 1164890075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7329) |
| 104100000X Social Worker (Licence: KY 7329) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-11-08 |