| NPI | 1750522538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084318-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0900202) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2020-04-13 |