| NPI | 1538506399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1302299-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1302299) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006723A) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2015-07-22 |