| NPI | 1770232522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259469) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 255263) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2024-08-13 |