| NPI | 1457371064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I0008736) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-06-21 |