| NPI | 1770800476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 0005863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005706) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2018-08-01 |