| NPI | 1275921934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801114-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1302119) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2024-11-21 |