| NPI | 1235645839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0500109) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0500109) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2025-05-08 |