| NPI | 1891383899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 255483) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 252982) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-27 |