| NPI | 1164823811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700401) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1041C0700X Social Worker, Clinical (Licence: OH S1300104) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2022-12-06 |