| NPI | 1265703250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700672-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH s1100019) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2022-11-18 |