| NPI | 1073093795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204025-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2204025) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2024-02-29 |