| NPI | 1063046142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2405214) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020002806) |
| 1041C0700X Social Worker Clinical (Licence: MO 2022020458) | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2024-08-08 |