| NPI | 1902274913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252592) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7066) |
| 1041C0700X Social Worker, Clinical (Licence: KY 7066) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-08-28 |