| NPI | 1538306980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I9292) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 1656) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2015-12-28 |