| NPI | 1003515149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 109796) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |