| NPI | 1174157846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254703) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 252392) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-31 |