| NPI | 1497888556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012002) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-0030600) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-07-08 |