| NPI | 1194372102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257161) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 254350) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-03-27 |