| NPI | 1720493810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255423) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6740) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-01-20 |