| NPI | 1871617118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6336) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0032107) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-04-08 |