| NPI | 1235545815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6779) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2022-06-06 |