| NPI | 1902571524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 255905) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 255905) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-10-25 |