| NPI | 1912095621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH S 31422) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: KY KY 4572) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-06-25 |