| NPI | 1225432859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700641) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S1300074-TRNE) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2019-01-24 |