| NPI | 1306360649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1700381) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2024-01-14 |