| NPI | 1356606925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018762) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1200425) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2016-05-24 |