| NPI | 1184989568 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201301-SUPV) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH s1000897) | 
| Enumeration Date | 2012-07-11 | 
| Last Update Date | 2023-12-21 |