| NPI | 1710596275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4373C) |
| 1041C0700X Social Worker, Clinical (Licence: NC C016821) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2025-04-22 |