| NPI | 1518378348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017283) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2405768) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2024-11-12 |