| NPI | 1689020521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 258972) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-07-10 |