| NPI | 1255639431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY 3505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY KY-4967) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2019-01-14 |