| NPI | 1750438008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2006033868) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-12-08 |