| NPI | 1568817047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7564) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2021-04-15 |