| NPI | 1972744530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0900011) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2019-11-07 |