| NPI | 1861656928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1101014) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: NY 077653-1) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2019-10-09 |