| NPI | 1851493662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY KY 948) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I-4740) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |