| NPI | 1881074144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7035) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2022-09-21 |