| NPI | 1255753422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253160) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY CSW 6710) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2024-07-09 |