| NPI | 1356712483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700694) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S1500698) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2021-04-19 |