| NPI | 1659789618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 2036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-2036) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-12-07 |