| NPI | 1992247118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 253392) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7237) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-08-20 |