| NPI | 1265946263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010140A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1800886) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: KY 254980) | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2024-01-16 |