| NPI | 1538550785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252842) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7215) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2021-12-13 |