| NPI | 1629596721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254352) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013950) |
| 104100000X Social Worker (Licence: KY 6310) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-04-01 |