| NPI | 1346428794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015022731) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.0900016) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2022-01-22 |