| NPI | 1730730441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 255538) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 25246) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2021-07-13 |