| NPI | 1528735859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 134747) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2106745) |
| 104100000X Social Worker (Licence: WI 134747) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2024-03-18 |