| NPI | 1255516787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253979) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY KY-5305) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-01-05 |