| NPI | 1831705037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258933) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 255277) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2024-05-15 |