| NPI | 1730683830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255536) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253170) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2021-04-06 |