| NPI | 1013502020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304721) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S2106195) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S2001425-TRNE) | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2023-09-13 |