| NPI | 1225552243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 254567) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 252618) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-10-31 |