| NPI | 1801332218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256513) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2022-02-14 |