NPI | 1578740320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3898) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3828) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2021-10-08 |