| NPI | 1952832925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256701) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252239) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-08-24 |