NPI | 1740569078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252194) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY LCSW 252194) |
Enumeration Date | 2011-08-04 |
Last Update Date | 2018-09-07 |