| NPI | 1679888762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH L1450651) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW 9942) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2021-10-20 |