| NPI | 1386317873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255732) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 258358) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2025-02-12 |