| NPI | 1457529539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006371) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 0009546-S) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-10-27 |