| NPI | 1922524875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1201455) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2023-07-12 |