| NPI | 1245521608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0800086-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 3458) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2012-09-17 |