| NPI | 1629446760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254354) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7345) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2022-11-20 |