NPI | 1477092278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256969) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: KY 254308) | |
Enumeration Date | 2017-02-14 |
Last Update Date | 2022-07-11 |