| NPI | 1750828521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254395) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7243) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2019-09-07 |