| NPI | 1851780407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007924A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-1600264) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-11-10 |