| NPI | 1255757175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66877) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 1303508) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1801138) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2019-10-15 |