| NPI | 1295215267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002495-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1802842) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2026-01-15 |