| NPI | 1487106837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253851) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252137) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2019-01-18 |