| NPI | 1770622144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1450659-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.1450659-SUPV) |
| 1041C0700X Social Worker, Clinical (Licence: KY ky-3038) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-06-05 |