| NPI | 1154970473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405805) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2004739) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-08-30 |