| NPI | 1265581839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0008743) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-10-07 |