| NPI | 1356848782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I2002357) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0900620) |
| 104100000X Social Worker (Licence: OH S0900620) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-09-30 |