| NPI | 1720430820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7705) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2020-02-28 |