| NPI | 1982259552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256955) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254283) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2022-06-16 |