| NPI | 1366021487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 252799) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 2562699) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2022-03-17 |