| NPI | 1194119941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254010) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 254010) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1201146-SUPV) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-12-18 |