| NPI | 1609398452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252665) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2023-10-16 |