| NPI | 1689383515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1802209) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-07-16 |