| NPI | 1174056923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1501288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 4001) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-05-10 |