| NPI | 1336270404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93318) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0600506) |
| 1041C0700X Social Worker Clinical (Licence: OH I 0900004) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-09-09 |