| NPI | 1760867139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6928) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2018-04-20 |