| NPI | 1336192467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1303372) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-06-30 |