| NPI | 1215179411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801143-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252325) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2023-11-27 |