| NPI | 1558932145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252367) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-09-15 |