| NPI | 1295865301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3833) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School (Licence: KY 3833) | |
| 1041S0200X Social Worker, School (Licence: KY 5866) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-02-15 |