| NPI | 1154806628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002458) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1100332) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-11-20 |