| NPI | 1710481916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0900103-SUPV) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |