| NPI | 1114531282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2204120) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2004996) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2024-02-03 |