| NPI | 1225541535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252948) |
| 1041C0700X Social Worker, Clinical (Licence: IN 33011934A) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2025-09-16 |