| NPI | 1396103347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7554) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2023-09-19 |