| NPI | 1225381627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800288-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.0800288) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-10-06 |