| NPI | 1538322896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0005684) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2018-11-15 |