| NPI | 1750712758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 260274) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: KY 21213879) |
| 1041C0700X Social Worker, Clinical (Licence: TX 115815) | |
| 171M00000X Case Manager/Care Coordinator (Licence: WV SW71312860) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2025-05-23 |