| NPI | 1497905277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 2087) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.0007707) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-10-11 |