NPI | 1396113593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3929) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1500401) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2015-12-23 |