| NPI | 1841663036 |
|---|---|
| Former Name | LORETTA LYNN RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2024-02-14 |