| NPI | 1366121055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2410710) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH YPS.000021) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-05-20 |