| NPI | 1598294662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 18000) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-08-06 |