| NPI | 1730615691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257355) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252036) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-06-29 |