| NPI | 1336771484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256579) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 253468) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2022-05-04 |