| NPI | 1457838302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 253404) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-03-31 |