| NPI | 1184154270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH i1800989-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1500677) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2025-10-30 |