| NPI | 1326142605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1600289) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY R0531091) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2017-02-27 |