| 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 |