| NPI | 1922530690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928713) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1501139) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2002491) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-09-06 |