| NPI | 1770844508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001014) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2025-07-03 |