| NPI | 1376832386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5864) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2022-05-18 |