| NPI | 1083211064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2405986) |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2025-04-02 |