| NPI | 1942443460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015035971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.00100008-SUPV) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2016-06-10 |