| NPI | 1124571401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801087-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S. 1501330) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2021-12-29 |