| NPI | 1942661608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007569A) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1901852) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2020-10-20 |