| NPI | 1841652005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 254702) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY CSW) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-03-21 |