| NPI | 1265885362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901453-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1600456) |
| 104100000X Social Worker (Licence: OH I.1901453-SUPV) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2024-01-17 |