| NPI | 1396039954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254059) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 254059) |
| 104100000X Social Worker (Licence: 3045) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-09-26 |