| NPI | 1891262325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252615) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2022-02-22 |