| NPI | 1003187394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700715) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013389) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2018-01-22 |