| NPI | 1467854638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600617-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH s1302429) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW15426) | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2021-07-30 |