| NPI | 1891197133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6191) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2025-02-04 |