| NPI | 1023441516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1500838-SUPV) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1302590) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2020-04-02 |