| NPI | 1912078650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY1638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 0009249) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-10-13 |