| NPI | 1457714404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253835) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7483) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-01-26 |