| NPI | 1578953618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252610) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY ADCLAD00225431) |
| 104100000X Social Worker (Licence: KY 6120) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2018-03-17 |