| NPI | 1588025316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253681) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6784) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-06-08 |