| NPI | 1437555620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6991) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2020-04-01 |