| NPI | 1952644981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002375) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY LCSW00001111) |
| 104100000X Social Worker (Licence: OH S0500535) | |
| 104100000X Social Worker (Licence: OH I.2002375-SUPV) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2025-09-11 |