| NPI | 1922746700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 259442) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 256829) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2025-04-01 |