| NPI | 1942642087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1700731) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1700731) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017741) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2024-05-29 |