| NPI | 1952889396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102714) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 113099) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2021-05-24 |