| NPI | 1215604384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 10060) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001100) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-12-03 |