| NPI | 1346639622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252286) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7039) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2016-09-25 |