| NPI | 1609150325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY KY3773) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I2002292) |
| 1041C0700X Social Worker Clinical (Licence: OR L13802) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2024-04-22 |