| NPI | 1922465962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 260254) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2506915) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2026-03-13 |