| NPI | 1215482617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203938) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: UT 10936826-3501) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-06-27 |