| NPI | 1639653355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255604) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253536) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2021-08-10 |