| NPI | 1114568169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1800995-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008643A) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-01-19 |