| NPI | 1255640793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34006585A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0031047) |
| 1041C0700X Social Worker Clinical (Licence: OH I.1000245) | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2023-10-16 |