| NPI | 1720444870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 254292) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1502557) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2019-08-28 |