| NPI | 1659863348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259667) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: KY 255190) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-10-01 |