| NPI | 1912294570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8037-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075845-1) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.0008875 SUPV) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2014-01-30 |