| NPI | 1881952463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1500840-SUPV) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006543A) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-12-13 |