| NPI | 1245874320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304640) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00946568) |
| 1041C0700X Social Worker, Clinical (Licence: KY 256322) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-04-02 |