| NPI | 1972197432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257847) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8794) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-07-14 |