| NPI | 1356820963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC I.2203718) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1802833) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2022-08-11 |