| NPI | 1841613668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1502319-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1502319-SUPV) |
| 1041C0700X Social Worker Clinical (Licence: MA LICSW127042) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2024-06-03 |