| NPI | 1407643109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY LCSW00001195) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2506552) |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2026-03-16 |