| NPI | 1528332590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800046-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3227) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2023-10-07 |