| NPI | 1568946259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253845) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I.1700752) |
| 101Y00000X Counselor (Licence: KY 7422) | |
| 104100000X Social Worker (Licence: OH I.1700752) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-07-03 |