| NPI | 1467816173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255004) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 1500842) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-08-17 |