| NPI | 1821439902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500966) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 108173) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2023-09-13 |