| NPI | 1265925945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I190.1895-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1501146) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-12-27 |