| NPI | 1881149565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0700175) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3744) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-10-30 |