| NPI | 1609354620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253480) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253480) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-10-03 |