| NPI | 1053722967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506250) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700354) |
| 104100000X Social Worker (Licence: KY 6803) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2025-04-23 |