| NPI | 1245766997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2102943-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S-1600988) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2025-07-23 |