| NPI | 1972878833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5059) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1451346) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2017-02-14 |