| NPI | 1407502602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257688) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254526) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2023-02-27 |