| NPI | 1316483571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I1101289) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007465A) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2020-10-27 |