| NPI | 1548741077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103561) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1802585) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-01-18 |