NPI | 1528484458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252462) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY CSW-6148) |
Enumeration Date | 2014-03-17 |
Last Update Date | 2017-02-01 |