| NPI | 1992448369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259904) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 256470) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-01-28 |