| NPI | 1316491640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253709) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252154) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2018-12-03 |