| NPI | 1558354167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY996) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0008020) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-07-08 |