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 |