| NPI | 1487293544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258889) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00945412) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2024-05-15 |