| NPI | 1770734832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 2795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0600955) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2023-07-11 |