| NPI | 1831627538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1901744) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1700524) |
| 1041C0700X Social Worker Clinical (Licence: IL 149.022129) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2020-10-19 |