| NPI | 1477237915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001546) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 258058) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2026-05-27 |