| NPI | 1831439892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0008713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-3111) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |