| NPI | 1780073015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010594) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC SW 11455) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1100077) | |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2019-07-29 |