| NPI | 1336350578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-2010) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0009755) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2015-08-10 |