| NPI | 1740821347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257304) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6253) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2022-12-20 |