| NPI | 1750685723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12550) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0005262) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2018-10-27 |