| NPI | 1578264727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 5448) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00945431) |
| 104100000X Social Worker (Licence: OH S.2208281) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |