| NPI | 1568826428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3757) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2025-02-28 |