| 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 |