| NPI | 1720217532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0700074) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-03-15 |