| NPI | 1083278840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1901438) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2021-03-18 |