| NPI | 1265947428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1600593) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2021-11-03 |