| NPI | 1184013880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH 1501208) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 09928244) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2022-07-15 |