| NPI | 1528460110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252907) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7063) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2017-11-28 |