| NPI | 1215547179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2405496) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005047) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-06-11 |