| NPI | 1225541931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255070) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: KY 255070) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2022-12-09 |