| NPI | 1710166194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078165) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0700332) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2022-10-28 |