| NPI | 1063409787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C12833) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I8651) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2021-05-08 |