| NPI | 1295926186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 3547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5195) |
| 1041C0700X Social Worker, Clinical (Licence: KY 3547) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-09-11 |