| NPI | 1639657943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102692) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088515) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2021-05-14 |