| NPI | 1770727141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3595) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0700304) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2013-02-15 |