| NPI | 1275127904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2304928) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 011288) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2304928) | |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1903288) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2023-12-12 |