| NPI | 1710523709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 260087) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7188) |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2025-09-04 |