| NPI | 1033643069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0008872-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-04-14 |