| NPI | 1245398064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1920) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I0009896) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-02-07 |