| NPI | 1316504616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255098) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252707) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2021-08-09 |