| NPI | 1255167094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY CSW00001554) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2613889) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2026-07-01 |