| NPI | 1255818134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103121-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802672) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2103121) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2023-01-16 |