| NPI | 1457604985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1000007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013952) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2014-03-18 |