| NPI | 1487166468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1500548) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1800802) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2022-04-22 |