| NPI | 1942665518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 253889) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7437) |
| 1041C0700X Social Worker, Clinical (Licence: KY 253889) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2021-08-09 |