| NPI | 1508226184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1440276) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2024-10-31 |