| NPI | 1073938320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12453) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH 201064) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2017-01-24 |