| NPI | 1770359366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11187) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |