| NPI | 1164654919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2107-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-7130) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2021-09-08 |