| NPI | 1376190454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204111-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2004841) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-12-14 |