| NPI | 1124565148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I. 1600343) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2020-12-30 |