| NPI | 1003631607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009922901) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S2309216) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |