| 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 |