| NPI | 1487014346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 5452) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1502615) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2023-09-21 |