| NPI | 1184034985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6778) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2021-05-17 |