| NPI | 1619229937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1901735) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1200975) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015410) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2023-12-08 |