| NPI | 1245459312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 0007523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-1039) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-07-21 |