| NPI | 1144844945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2608400) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: OH s.2005515) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2026-08-27 |