| NPI | 1285978056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1200414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007960) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2023-08-09 |