| NPI | 1306057955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 9197887-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S31707) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-07-22 |