| NPI | 1205137668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH i.0800377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15557) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016412) | |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-10-04 |