| NPI | 1467884411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009139) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1302891) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2015-09-25 |