| NPI | 1164726048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17455) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0009698) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2021-01-09 |