| NPI | 1063980787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405606) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2024-07-19 |