| NPI | 1720384639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201528) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5789) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2014-11-07 |