| NPI | 1710649629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259608) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 256863) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-09-09 |