| NPI | 1700402054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257632) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 254837) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-03-16 |