| NPI | 1356855431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1700223) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2020-12-01 |