| NPI | 1871890533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 1501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH 0600032) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |