| NPI | 1285222596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: KY 3796) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |