| NPI | 1679244453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256167) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10772) |
| 104100000X Social Worker (Licence: KY 256167) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-04-16 |