| NPI | 1962949404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1600463) |
| 1041C0700X Social Worker, Clinical (Licence: MA 213743) | |
| 1041C0700X Social Worker, Clinical (Licence: PA SW124507) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2020-07-23 |