| NPI | 1649516337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S-901448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015434) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2024-02-08 |