| NPI | 1003967480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I0005305) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 1528) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |