| NPI | 1528824158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 256802) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-06-20 |