| NPI | 1760890461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203707) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY PCSW-595) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2022-06-17 |