NPI | 1174189112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255412) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252882) |
Enumeration Date | 2019-05-15 |
Last Update Date | 2023-03-16 |