| NPI | 1376007534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 7274) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1803279) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |