| NPI | 1205257243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801042) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600304) |
| 174400000X Specialist | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1400208-TRNE) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2019-11-19 |