| NPI | 1114430808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203397) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701240) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2022-02-14 |