| NPI | 1770829293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5907) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2018-08-27 |