| NPI | 1588382923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW6809) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2026-06-02 |