| NPI | 1740785856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2203362) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34010215A) |
| 1041C0700X Social Worker Clinical (Licence: KY 257554) | |
| 1041C0700X Social Worker Clinical (Licence: OH S1303227) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-08-05 |