| NPI | 1992770721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1014KY) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY1014) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-11-22 |