| NPI | 1841609377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600061-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 253438) |
| 1041C0700X Social Worker, Clinical (Licence: OH S0800711) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2020-05-20 |