| NPI | 1699006965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5437) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2023-06-20 |