| NPI | 1609287424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14957) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00943710) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2021-04-15 |