| NPI | 1346795549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S1600535) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S-1600535) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2018-03-26 |