| NPI | 1306348651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY I) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |