| NPI | 1164807442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901425-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I1901425) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2025-09-05 |