| NPI | 1548353386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 1874LCSW) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-07-07 |