| NPI | 1558640862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 254125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 1000162) |
| 1041C0700X Social Worker Clinical (Licence: KY 5663) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-02-12 |