| NPI | 1053722967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1700354) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6803) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-08-05 |