| NPI | 1699019992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1302248) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3677) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00944265) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2015-10-05 |