| NPI | 1700696515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 2405746) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00947085) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34011405A) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 259698) | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-14 |