| NPI | 1871218818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258034) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2023-07-18 |