| NPI | 1770909079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252645) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6831) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2025-06-30 |