| NPI | 1508481615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304318) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 109443) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-03-16 |