| NPI | 1508192287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 005085) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2022049235) |
| 101YP2500X Counselor, Professional (Licence: KY KY-3190) | |
| 104100000X Social Worker (Licence: KY KY-3190) | |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2024-09-27 |