| NPI | 1386116093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 253706) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2022-06-27 |