NPI | 1861903908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257806) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252923) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2023-06-13 |