| NPI | 1578946521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH l.1200472-SUPV) |
| 104100000X Social Worker (Licence: OH l.1200472-SUPV) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2026-04-27 |