| NPI | 1114441060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15611) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1500925) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2019-07-24 |