| NPI | 1518382381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1801208) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical (Licence: CA 76691) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2018-11-08 |