| NPI | 1649708025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2105889) |
| 104100000X Social Worker | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-12-06 |