| NPI | 1295133304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253565) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6955) |
| 101YM0800X Counselor, Mental Health (Licence: KY 253565) | |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2024-09-20 |