| NPI | 1699166397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH i.1450546) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2019-08-21 |