| NPI | 1598976524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-1946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-4219) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-03-20 |