| NPI | 1932637329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW21528) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1901865) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00944251) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2024-05-14 |