| NPI | 1114593159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2207417) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2022-10-24 |