| NPI | 1336617935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253721) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1303134) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |