| NPI | 1316474588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L15922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2102764) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2025-04-24 |