| NPI | 1457686263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0600160 SUPV) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2020-10-12 |