| NPI | 1255689535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1501138) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-12542) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2016-02-10 |